HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPI
Date: 1/29/18 ,
ONNVOS
Building R
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Com
ION TO BE ACCEPTED
Permit Number:
03 — ()aQ
a .6�
1
RECEDED
fit Application
MAR 0 a 1018
P.rM1tting Department
county
St. Lucke
PERMIT APPLICATION FOR: Mobile home I
PROPOSED IMPROVEMENT LOCATION:
Address: 3528 Red Tailed Hawk Dr
Legal Description: Lot 22 in Block 70 of Fairways At Savanna
Property Tax ID #: 3424-800-0092-000-8
Site Plan Name:
Project Name:
Setbacks Fron ;::D Back:JA
Right Side
al Residential x
Replat No. 1
Left Side;
Lot No. 22
Block No. 70
DETAILED DESCRIPTION OF WORK: i J
Mobile Home Setup with plumbing, electrical, and
anical.
,CONSTRUCTION INFORMATION:
Additional work to easleorme under tispermit—checka apply:
❑✓_ HVAC L_J Gas Tank []Gas Piping Shutters ❑ Windows/Doors
R1Electric ❑✓ Plumbing U Sprinklers ❑ Generator ❑ Roof Roof pitch
Total Sq. Ft of Construction: 1,488 S . Ft. of First Floor:
Cost of Construction: $ 5,000.00 Utilities: L i.J Sewer ❑ Septic Building Height:
i
OWNER/LESSEE:
CONTRACTOR:
Name Savanna Eagles Retreat LLC
Name: Thomas G. Jennings
Co4any: Jennings Mobile Home Setup, LLC
Address: P O. Box 1428
Address: 2777 Franklin Road Ste 200
City: Southfield State: MI
Zip Code: 48034 Fax:
City: Auburndale State: FL
Phone No.
E-Mail: mknight@suncommunities.com
Fill in fee simple Title Holder on next page (if different
from the Owner listed above)
Zip Code: 33823 Fax: 863-967-6655
Phone No. 863-965-0883
tam
E-Mail: 1ennin smhs 9 @ Paba Y•rr.com
State II r County License: IH1025176
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION' LIEN LAWT
DESIGNER/ENGINEER: _ Not Applicable
Name:
Address:
City: State:
Zip: Phone
FEE SIMPLE TITLE HOLDER: _ Not Applicable
Name:
Address:
City:
Zip: Phone:
N:
MORTGAGE COMPANY:
Name:
Address:
City:
Zip: Phone:.
Not Applicable
State:
BONDING COMPANY: _Not Applicable
Name:
Address:
City:
Zip: Phone:
OWNER/ CONTRACTOR AFFIDVIT: Application is hereby made to obtain a permit to do the work and installation as indicated.
I certify that no work or installation has commenced prior to th Issuance of a permit.
St. Lucie County makes no representation that is granting a permrr�it will authorize the permit holder to build the subject structure
which is in conflict with any applicable Home Owners Association rules, bylaws or and covenants that may restrict or prohibit such
structure. Please consult with your Home Owners Association and review your deed for any restrictions which may apply.
In consideration of the granting of this requested permit, I do he
in accordance with the approved plans, the Florida Building Code
The following building permit applications are exempt from und(
accessory structures, swimming pools, fences, walls, signs, screei
WARNING TO OWNER: Your failure to Record a Notice i
improvements to your property. A Notice of Commen
before the first inspection. If you intend to obtain fina
commencing work or recording vour Notice of Commi
Signature of Owner/ Lessee/Contractor as Agent for Owner
STATE OF FLORIDA
COUNTY OF Polk
The forgoing instrument was acknowledged before me
this 29th day of Janaury , 2018 by
Thomas G. Jennings
Name of person making statement
Personally Known x OR Produced Identification
Type of Identification
Produced
(Signature of Nota blic-St oft�a`�-a'=s�'�'
;`;;� c- Klh{BERLYVIATKINS
Commission No. l '` S4bp!p SSJa�uary 71 0 9{
8ondod Thru Notary Public Undenvdt
REVIEWS FRONT ZONING I SUPERVISOR
COUNTER REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev. 8/2/17
!by agree that I will, in all respects, perform the work
and St. Lucie County Amendments.
going a full concurrency review: room additions,
rooms and accessory uses to another non-residential use
Commencement may result in your paying twice for
!ment must be recorded and posted on the jobsite
:ing, consult with lender or an attorney before
cement.
Signature of Contractor/License Holder
STATE OF FLORIDA
COUNTY OF Polk
The forgoing instrument was acknowledged before me
this 29th day of January 2018 by
Thomas G. Jennings
Name of person making statement
Personally Known x OR Produced Identification
Type of Identification
lature of Notary Public /$tate
-�,��7 K!MBEWATK!N
J24' °` ¢1Y CO�b1MISSISSION;{ FF 1
mission No. `� ; (eal HRES: January 7,
Bonded 7hru Notary Public Um
VEGETATION I SEA TURTLE I MANGROVE
REVIEW REVIEW REVIEW